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In almost 35 years of medical practice, I had never considered it my responsibility to notify patients' pharmacies of medication discontinuations. As a user of a robust electronic medical record (EMR) system for more than 5 years, I have become more aware of the problems that electronic prescribing has caused with inappropriate refilling of prescription medications, as noted in Allen and Sequist's article (1). Although notifying pharmacies of changing medication profiles would be desirable, the reality of dispensing practices makes this nearly impossible. The pharmacies' own practices of attempting to automate the process of refilling medications create much of the problem.